Imperial College London
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DrRichard Janvan Arkel

Faculty of Engineering, Department of Mechanical Engineering

Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 7594 6157r.vanarkel

 
 
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Location

 

719City and Guilds BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Garner:2019:10.1302/0301-620X.101B8.BJJ-2019-0125.R1,
author = {Garner, A and van, Arkel RJ and Cobb, J},
doi = {10.1302/0301-620X.101B8.BJJ-2019-0125.R1},
journal = {Bone and Joint Journal},
pages = {922--928},
title = {Classification of combined partial knee arthroplasty},
url = {http://dx.doi.org/10.1302/0301-620X.101B8.BJJ-2019-0125.R1},
volume = {101B},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - AimsThere has been a recent resurgence in interest in combined partial knee arthroplasty (PKA) as an alternative to total knee arthroplasty (TKA). The varied terminology used to describe these procedures leads to confusion and ambiguity in communication between surgeons, allied health professionals, and patients. A standardized classification system is required for patient safety, accurate clinical record-keeping, clear communication, correct coding for appropriate remuneration, and joint registry data collection.Materials and MethodsAn advanced PubMed search was conducted, using medical subject headings (MeSH) to identify terms and abbreviations used to describe knee arthroplasty procedures. The search related to TKA, unicompartmental (UKA), patellofemoral (PFA), and combined PKA procedures. Surveys were conducted of orthopaedic surgeons, trainees, and biomechanical engineers, who were asked which of the descriptive terms and abbreviations identified from the literature search they found most intuitive and appropriate to describe each procedure. The results were used to determine a popular consensus.ResultsSurvey participants preferred “bi-unicondylar arthroplasty” (Bi-UKA) to describe ipsilateral medial and lateral unicompartmental arthroplasty; “medial bi-compartmental arthroplasty” (BCA-M) to describe ipsilateral medial unicompartmental arthroplasty with patellofemoral arthroplasty; “lateral bi-compartmental arthroplasty” (BCA-L) to describe ipsilateral lateral unicompartmental arthroplasty with patellofemoral arthroplasty; and tri-compartmental arthroplasty (TCA) to describe ipsilateral patellofemoral and medial and lateral unicompartmental arthroplasties. “Combined partial knee arthroplasty” (CPKA) was the favoured umbrella term.ConclusionWe recommend bi-unicondylar arthroplasty (Bi-UKA), medial bicompartmental arthroplasty (BCA-M), lateral bicompartmental arthroplasty (BCA-L), and tricompartmental arthroplasty (
AU  - Garner,A
AU  - van,Arkel RJ
AU  - Cobb,J
DO  - 10.1302/0301-620X.101B8.BJJ-2019-0125.R1
EP  - 928
PY  - 2019///
SN  - 2049-4394
SP  - 922
TI  - Classification of combined partial knee arthroplasty
T2  - Bone and Joint Journal
UR  - http://dx.doi.org/10.1302/0301-620X.101B8.BJJ-2019-0125.R1
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000477976500007&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/72636
VL  - 101B
ER  -
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